Agnes J Mawa, RN

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

877945 Issued in TX

Practice address

2424 Wilcrest Dr Ste 110
Houston, TX 77042-2772

Phone

(136) 667-8287

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1396320875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18327 SURREY LAKE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774075022",
            "telephone_number": "407-745-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 WILCREST DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422772",
            "telephone_number": "136-667-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWA",
        "first_name": "AGNES",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "877945",
            "primary": false
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "877945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mavis Dao O.D. & Associates, PLLC
• Mavis Fujii Mdpa
• Mavis O Pharmacy LLC
• Hanna Mavric, DO
• Mavride LLC
• Esther Mawa
• Michel E. Mawad, M.D.
• Zohra Mawani, FNP-C
• Mawazo Counseling and Consulting, LLC
• Fatima Amirali Mawji, M.D.

• Pediatric Registered Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.